Neuropsychiatrie de l''Enfance et de l''Adolescence最新文献

{"title":"Représentations parentales suite au diagnostic d’autisme : entre l’ici et le monde tamoul","authors":"N. Bergen ,&nbsp;A. Simon ,&nbsp;M.R. Moro ,&nbsp;T. Baubet","doi":"10.1016/j.neurenf.2025.05.001","DOIUrl":"10.1016/j.neurenf.2025.05.001","url":null,"abstract":"<div><div>This qualitative and cross-cultural study explores the experiences of Tamil parents living in France following the diagnostic disclosure of autism in their child. Understanding parental representations related to the diagnosis is seen as a crucial component of therapeutic work. Nine families followed in a mental health center called Centre Médicopsychologique were interviewed through semi-structured sessions with an interpreter, using the McGill Illness Narrative Interview method. The findings were analyzed through an interpretative phenomenological approach and are organized into three key themes: a progressive confrontation with the disorder, evolving from initial concern to a process of appropriation and a search for support within the Tamil autism parent community; a subjective reflection on the disorder, shaped by etiological questions; a dynamic mindset reflecting a drive to act, where parents express a need for concrete strategies to support their child.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 289-294"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2025.09.002","DOIUrl":"10.1016/j.neurenf.2025.09.002","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 358-360"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Y. Gansel","doi":"10.1016/j.neurenf.2025.06.004","DOIUrl":"10.1016/j.neurenf.2025.06.004","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 295-296"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aux origines de la Grille Alternative Psychomotricité Prématurité Environnement Affectivité (GAPPEA) : une démarche de recherche clinique","authors":"M. Perrier Genas ,&nbsp;J. Boutinaud","doi":"10.1016/j.neurenf.2025.03.011","DOIUrl":"10.1016/j.neurenf.2025.03.011","url":null,"abstract":"<div><h3>Objectives</h3><div>The article presents the genesis, functioning and content of the GAPPEA grid (Grille Alternative Psychomotricité Environnement Affectivité – Alternative Psychomotricity Environment Affectivity Grid), which was devised based on needs encountered in clinical practice in CAMSPs when dealing with premature babies and their families. It responds to the need to develop a new and original tool used by psychomotricians to guide and refine their clinical observations in this field.</div></div><div><h3>Patients and methods</h3><div>The grid takes up and puts to work preliminary studies on cohorts of 8-month-old babies, but it also involves the networking of several dozen psychomotricians around its use. It is based on a quantitative and qualitative approach.</div></div><div><h3>Results</h3><div>The grid was constructed as a guide for observing specific elements exploring different areas in terms of psychomotricity and is divided into five areas of observation (first observations, the baby's psychomotor discoveries, parent/child interaction and links, the baby's response to the psychomotrician's requests, links between the clinician and the family) with specific items presented in detail for each area. It gives pride of place to issues relating to parents.</div></div><div><h3>Discussion</h3><div>In terms of its experimental use, the grid is original in relation to existing supports and is adapted to the needs of psychomotricians working in this clinical field. The positive feedback received from professionals who have used it testifies to its usefulness.</div></div><div><h3>Conclusions</h3><div>The genesis and initial uses of GAPPEA suggest that it should be used in new ways in the field of clinical approaches to babies. Putting it to the test in new ways will also allow it to be transformed and even calibrated later.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 258-265"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/j.neurenf.2025.08.002","DOIUrl":"10.1016/j.neurenf.2025.08.002","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 297-299"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mise à l’épreuve de la Grille Alternative Psychomotricité Prématurité Environnement Affectivité (GAPPEA) via la clinique de la prématurité","authors":"M. Perrier Genas ,&nbsp;J. Boutinaud","doi":"10.1016/j.neurenf.2025.07.002","DOIUrl":"10.1016/j.neurenf.2025.07.002","url":null,"abstract":"<div><h3>Objectives</h3><div>This article presents an implementation of the GAPPEA grid (Grille Alternative Psychomotricité Environnement Affectivité–Alternative Psychomotor Environment Affectivity Grid), based on the needs encountered in clinical practice in CAMSP with regards to babies born prematurely and their families.</div></div><div><h3>Patients and method</h3><div>The grid was tested on a cohort of 81 8-month-old babies (8 months of age, real or corrected, including premature babies) involving the networking of several dozen psychomotor therapists around its use.</div></div><div><h3>Results</h3><div>In addition to the feedback received from the psychomotricians who took part in the study and who emphasised the points of interest, the use of the grid made it possible to specify certain particularities and weaknesses in the psychomotor development of premature babies (sensory irritability, prevalence of hyper-extension patterns, undesirable effects of sitting, etc.) as well as their impact on the psychomotor development of premature babies. It also defined their impact on interactions with parents (which were measured here via their effects on carrying, feeding, play and communication).</div></div><div><h3>Discussion</h3><div>In light of this experiment, the use of the grid enabled an in-depth clinical reading of the potential and difficulties of the babies concerned, facilitating better identification of certain clinical signs and their issues. It also defined precise indications for thinking about their care and guiding parents on very concrete aspects.</div></div><div><h3>Conclusions</h3><div>The use of the grid in this context underlines the relevance of its handling, thus opens the possibility of diversifying its use and improving it in the future through other research by using it as a support. It offers a practical and useful tool for psychomotricians in their assessment and care activities in the field of therapeutic support for babies and their parents.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 5","pages":"Pages 266-275"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145021085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrait scolaire : deux mots pour rassembler, comprendre et agir","authors":"N. Catheline,&nbsp;L. Gicquel","doi":"10.1016/j.neurenf.2025.09.003","DOIUrl":"10.1016/j.neurenf.2025.09.003","url":null,"abstract":"","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 301-303"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Éthique du toucher en psychiatrie de l’enfant et de l’adolescent : dialectique entre théorie et pratique","authors":"A. Vachez-Gatecel ,&nbsp;F. de Sainte Maréville","doi":"10.1016/j.neurenf.2025.03.005","DOIUrl":"10.1016/j.neurenf.2025.03.005","url":null,"abstract":"<div><div>Because it is within the possibility of caring for others, touch is at the very basis of ethics. It is central to the work of touch professionals, especially when dealing with children and adolescents in the field of child psychiatry. Questions are raised daily, and post-coup work becomes necessary because of the ambivalence and confusion surrounding this sense. This article focuses on the practice of psychomotricians. Their experience is invaluable in establishing a therapeutic and ethical framework for achieving the right distance between carer and cared-for. Two clinical vignettes illustrate this practice regarding touch but not without first addressing the historical-medical-philosophical dimension of this sense. Psychomotricians draw on the phenomenology of Merleau-Ponty, among others. Merleau-Ponty's thinking is based on touch, the sense of mediation between the surface and depth of being, but also on the paradigm of our relationship with the world, which is highlighted by the experience of touching–touched. It is only through rigorous elaboration and reflection that the use of touch in child psychiatry, whatever the pathological difficulties, can be therapeutic: containing and enveloping without embracing, exciting or coercing…</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 322-327"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le syndrome de dysfonctions non verbales (SDNV) : actualisation des connaissances et analyse d’une cohorte de 89 patients traités dans le centre expert Resodys","authors":"A. Joffroy-Frixons ,&nbsp;P. Colas ,&nbsp;K. Abed ,&nbsp;M. Gruel ,&nbsp;M. Habib","doi":"10.1016/j.neurenf.2025.06.002","DOIUrl":"10.1016/j.neurenf.2025.06.002","url":null,"abstract":"<div><div>The so-called Non-Verbal Learning Disabilities (NVLD) syndrome is a type of learning disorder that is frequently discussed in clinical, educational, and community contexts, particularly in Anglo-Saxon countries and Quebec. However, its nosographic identity remains undefined, which hinders the early identification of affected children and adolescents and consequently delays diagnosis and the implementation of appropriate intervention protocols. In France, the term is gradually gaining recognition among professionals involved in learning disorders, while its specific impacts on daily, academic, and social life are also becoming more acknowledged. This article has three main objectives: 1/to provide an overview of current knowledge regarding the presentation and mechanisms of the disorder through a brief literature review focused on recent publications, including two meta-analyses and a summary of the few neuroimaging studies dedicated to it; 2/to address ongoing questions regarding the clinical reality of the disorder and its classification among learning disabilities and, more broadly, neurodevelopmental disorders (NDDs) by analyzing a cohort of 89 patients recently admitted to the Résodys center which is specialized in the care of severe learning disorders in the PACA region of France; 3/finally, in light of these findings, to examine the relevance of a new set of diagnostic criteria for clinicians, adopting a dimensional rather than categorical approach to better support affected children and adolescents. We thus propose a new perspective on this syndrome—one that no longer focuses on deviation from the norm but rather on two key observations: the multiplicity of moderately or partially affected cognitive domains, and the intra-individual performance discrepancies among these domains, particularly verbal and nonverbal. From this standpoint, our clinical experience diverges from a portion of the recent literature that equates NVLD with visuospatial disorder. More than an isolated cognitive deficit, the hallmark of this syndrome seems to lie in the coexistence of subtle impairments across several domains—even at a subclinical level. Though still limited, neuroimaging data tend to support the hypothesis of impaired connectivity among neural networks that jointly contribute to several of the cognitive functions involved.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 304-313"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aspects relationnels impliqués dans l’efficacité des psychotropes chez l’enfant et l’adolescent : modèles théoriques, illustrations cliniques, recommandations","authors":"X. Benarous ,&nbsp;C. Hanin ,&nbsp;D. Cohen","doi":"10.1016/j.neurenf.2025.04.002","DOIUrl":"10.1016/j.neurenf.2025.04.002","url":null,"abstract":"<div><h3>Objectives</h3><div>This article examines how relational aspects contribute to the effectiveness of prescribing psychotropic drugs to children and adolescents. This psychological component is often referred to as the “placebo effect” or “non-specific effects” in clinical research.</div></div><div><h3>Method</h3><div>This narrative review synthesizes data from epidemiological studies, clinical trials, and experimental psychology regarding the relational factors that influence response levels to psychotropic medications in the pediatric population.</div></div><div><h3>Results</h3><div>The literature findings have been integrated into a theoretical model inspired by systems theory and developmental psychology. This interactionist model emphasizes the connections between the pre-existing perceptions of medication held by parents and children, and how these perceptions influence their beliefs and attitudes toward medication.</div></div><div><h3>Discussion</h3><div>Representations of medication are shaped by developmental issues and parental life experiences. These factors can be addressed during consultations to mitigate their effects. The prescriber has a crucial role in acknowledging these representations and assisting in their interpretation. Clinical examples are provided to illustrate how these representations manifest during treatment.</div></div><div><h3>Conclusions</h3><div>Guidelines for best practices must consider the significance of relational factors at every stage of prescribing psychotropic medications to children and adolescents to optimize their therapeutic effects.</div></div>","PeriodicalId":39666,"journal":{"name":"Neuropsychiatrie de l''Enfance et de l''Adolescence","volume":"73 6","pages":"Pages 328-335"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}